NPI 1548082068 · live from the CMS NPI Registry
Ama Dufie Agyekum
Nurse Practitioner, Family in Prince George, VA. National Provider Identifier 1548082068, active.
NPI record
| NPI | 1548082068 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4720 Puddledock Rd, Prince George, VA 23875 |
| Practice phone | 804-452-4546 |
| Mailing address | 7671 Lynn Creek Dr, North Prince George, VA 23860 |
| Enumerated | October 28, 2024 |
| Last updated | October 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 0024191438 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.